Case Report

Reamer Breakage during Intramedullary Nailing in Tibial Shaft Fractures: A Case Report and Review of Literature


Background: Interlocked intramedullary nailing is the most common treatment for closed tibial fractures. Reaming is a fundamental step in this surgical technique, and reamer breakage is a rare yet challenging complication during this operation.


Case Report: A 34-year old male with a tibial shaft fracture was admitted for early closed tibial nailing. During the reaming process, the reamer broke and stuck in the medulla at the isthmus level. We extracted the broken piece by back hammering a cannulated T-handle placed on the ball tip guide pin.


Conclusion: In this closed and quick method, we did not use any extra device other than standard equipment of intramedullary nailing.

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IssueVol 7, No 1 (2021) QRcode
SectionCase Report
Intramedullary Nailing; Orthopedic Fixation Devices; Tibial Fractures

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How to Cite
Kazemi M, Sharafi M, Shayan-Moghadam R. Reamer Breakage during Intramedullary Nailing in Tibial Shaft Fractures: A Case Report and Review of Literature. J Orthop Spine Trauma. 2021;7(1):27-30.